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®PaU tN•c SAN JOAQUIN COUNTY Date L <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 0 <br /> -� 600 East Main Street, Stockton, CA 95202 <br /> coo (209)468-3420 <br /> CSLIF:®RCS°P MEDICAL WASTE INSPECTION FORM <br /> FacilityName FacilityAddress 53.20 C41r1 fit,,,, G tc, _ <br /> FacilityContact V�S soy Title one* ®q '7 <br /> ISPECTION TYPE: utine ❑Complaint []Re-inspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> _1.HSC Section 117955-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation of 11_ <br /> medical waste. `1�31n ► Y1�- �,iP,OCA4 Q�owhp 11. 6,11r ILIO L. <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall T <br /> generate medical waste unless registered with the �5 <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med 0 4"A <br /> c i ,-s ry,4ind 'k4') <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med i4. <br /> waste without permit from enforcement agency. iA <br /> _7.HSC Section 117908-Common Storage T <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures w <br /> _8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to r <br /> register shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file MWMP c <br /> vitith enforcement agency. J " <br /> 12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation °7$ s L 5 0 <br /> _13.HSC Section 118030-LQHE application. o <br /> Treatment/Storage , <br /> From <br /> Section 118135-Shall obtain a permit ./y S <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records 1 <br /> shall be kept for 3 years. 1 <br /> _16.HSC Section 118216-All medical waste <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. <br /> _19.HSC Section 118275-MW red bags,path, <br /> chemo shall be labeled properly. <br /> _20.HSC Section 118280-MW label&contain <br /> _21.HSC Section 118285-Sharps label/contain <br /> _22.HSC Section 118295-Proper decon used. <br /> _23.HSC Section 118307-Interim storage labeled <br /> 24.HSC Section 118310-Enclosure labeled. <br /> 25.HSC Section 118305-Cannot reuse drums <br /> _26.HSC Section 117630-Approved biohazard <br /> bag used. /d <br /> _27.HSC Section 118275(g)-Pharm label/store _Q��p _ <br /> _28.HSC Section 118222-Incineration Required Inspecof Signature ReC21V By Date <br /> 29 Other-Describe in narrative. <br />